Manage patient referrals and insurance benefit verifications for acute behavioral health facilities. Coordinate the intake and admission process while documenting all activities within Salesforce.
Overview Acadia Healthcare is seeking remote Admissions Services Specialists to support our Acute Behavioral Health Facilities from coast to coast. This position is 100% remote. PRN Highlights of this role include:
Ability to verify benefits information for assigned facility.
Experience monitoring and processing patient referrals (may include fax referrals).
Respond to inquiries about facilities within policy timeframes.
Support Acadia Healthcare admissions departments throughout the country. As one of the nation's leaders in treating individuals with acute co-occurring mood, addiction, and trauma, Acadia Healthcare places a strong emphasis on our admissions & intake functions to allow us to help every possible person in need. This person will be supporting Acadia Acute Admissions departments around the country in a remote capacity.
ESSENTIAL FUNCTIONS: Manage Referral Management Portals Monitor all faxed referrals Monitor all webforms and call center handoffs/rollover referrals Utilize facility admissions/exclusionary criteria to process incoming types of referrals Respond to inquiries about the facility within facility policy timeframes. Document calls inside of Salesforce and follow-up as needed Complete Prior Authorization Pre-Admit the patients in billing system Coordinate with local admissions department regarding bed availability Facilitate intake, admissions, and utilization review process for incoming patients. Perform insurance benefit verifications, disseminating the information to appropriate internal staff. Collaborate with other facility medical and psychiatric personnel to ensure appropriate recommendations for referrals. Coordinate admission and transfer between levels of care within the facility. Communicate projected admissions to designated internal representative in a timely manner. Ensure all medical admission documentation is gathered from external sources prior to patient admission and secure initial pre-authorization for treatment and admission. STANDARD EXPECTATIONS: Complies with organizational policies, procedures, performance improvement initiatives and maintains organizational and industry policies regarding confidentiality. Communicate clearly and effectively to person(s) receiving services and their family members, guests and other members of the health care team.
EDUCATION/EXPERIENCE/SKILL REQUIREMENTS: Bachelor’s or Master’s degree in Behavioral Science, Social Work, Sociology, Nursing, or a related field; in some states, RN, LVN/LPN Knowledge of admission/referral processes, techniques, and tools Familiarity with behavioral health issues and services Solid understanding of financial principles and insurance reimbursement practices Knowledge and proficiency with Salesforce.com (or other CRM application), Concur, and MS Office application. LICENSES/DESIGNATIONS/CERTIFICATIONS: Licensure, as required for the area of clinical specialty, i.e., RN license, CAC or other clinical counseling or therapy license, as designated by the state in which the facility operates. SUPERVISORY REQUIREMENTS: This position is an Individual Contributor We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual’s characteristics protected by applicable state, federal and local laws. AHCORP
Requires a Bachelor's or Master's degree in Behavioral Science, Nursing, or a related field, with some states requiring specific clinical licensure. Must be proficient in Salesforce and have a solid understanding of insurance reimbursement practices.